Provider Demographics
NPI:1063505642
Name:BARNARD, CHRISTOPHER M (MD)
Entity Type:Individual
Prefix:
First Name:CHRISTOPHER
Middle Name:M
Last Name:BARNARD
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:101 WILSON RD
Mailing Address - Street 2:SUITE A
Mailing Address - City:MONTEREY
Mailing Address - State:CA
Mailing Address - Zip Code:93940-7834
Mailing Address - Country:US
Mailing Address - Phone:831-648-8005
Mailing Address - Fax:831-648-7376
Practice Address - Street 1:101 WILSON RD
Practice Address - Street 2:SUITE A
Practice Address - City:MONTEREY
Practice Address - State:CA
Practice Address - Zip Code:93940-7834
Practice Address - Country:US
Practice Address - Phone:831-648-8005
Practice Address - Fax:831-648-7376
Is Sole Proprietor?:No
Enumeration Date:2006-10-02
Last Update Date:2014-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA48655174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAZZZ31179ZOtherGROUP ID NUMBER
CAF98933Medicare UPIN
CAZZZ31179ZOtherGROUP ID NUMBER